Provider Demographics
NPI:1629262035
Name:GIOVANIS, ATHINA (DO)
Entity type:Individual
Prefix:DR
First Name:ATHINA
Middle Name:
Last Name:GIOVANIS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 CONKLINGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-5621
Mailing Address - Country:US
Mailing Address - Phone:917-593-4164
Mailing Address - Fax:
Practice Address - Street 1:20 WEST AVE STE 105
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10918-1053
Practice Address - Country:US
Practice Address - Phone:845-360-9864
Practice Address - Fax:845-390-2053
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY252551208D00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice